(Self-evaluation, to be completed by student)
All social work students must complete at least 400 hours of field experience. To best evaluate and measure student progress over time, this evaluation should be completed twice during the placement
(once at about the halfway point and once upon completion of total hours). It is important to your growth and development that you self-evaluate. That way, you can identify areas of strength and weakness and strive to improve your practice. This evaluation is also an important part of the UWSP Social Work
Program’s assessment process; we use data generated to identify areas in need of improvement in our curriculum. For your own benefit, and for that of our program, please complete this evaluation carefully and honestly.
Name of Intern: Click here to enter text.
Name of Agency: Click here to enter text.
Date: Click here to enter text.
Hours Completed To Date: Click here to enter text.
Instructions
Please utilize your learning plan as a guide as you complete this evaluation. The 10 competencies and 41 practice behaviors used in this evaluation are those established by our national accrediting organization, the Council on Social Work Education. Please rate yourself on each of the 41 practice behaviors, using the following scale. It is expected that scores will vary according to the amount of time spent in the agency and opportunities available.
5 Fully Competent
4 Mostly Competent
3 Moderately Competent
2 Minimally Competent
1 Not Competent n/a Not applicable, as the intern has not had the opportunity to demonstrate competence
Comments may be made under each competency statement, if desired. Please be sure to indicate those areas in which you think you are particularly strong and those areas in which you need improvement.
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Competency 1: Identify as a professional social worker and conduct oneself accordingly.
Please rate your ability to:
5 4 3 2 1 n/a
1 Advocate for client access to the services of social work
2. Practice personal reflection & self-correction to assure continual professional development
3. Attend to professional roles & boundaries
4. Demonstrate professional demeanor in behavior, appearance, and communication
5. Engage in career-long learning
6. Use supervision and consultation
Comments: Click here to enter text.
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Competency 2: Apply social work ethical principles to guide professional practice.
Please rate your ability to:
7. Recognize and manage personal values in a way that allows professional values to guide practice
8. Make ethical decisions by applying standards of the National
Association of Social Workers Code of Ethics
5 4 3 2 1 n/a
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9. Tolerate ambiguity in resolving ethical conflicts ☐ ☐ ☐ ☐ ☐ ☐
10. Apply strategies of ethical reasoning to arrive at principled decisions ☐ ☐ ☐ ☐ ☐ ☐
Comments: Click here to enter text.
Competency 3: Apply critical thinking to inform and communicate professional judgments.
Please rate your ability to:
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Distinguish, appraise, and integrate multiple sources of
5 4 3 2 1 n/a
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Analyze models of assessment, prevention, intervention, and evaluation
Demonstrate effective oral and written communication in
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☐ ☐ ☐ ☐ ☐ ☐ working with individuals, families, groups, organizations, communities, and colleagues
Comments: Click here to enter text.
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Competency 4: Engage diversity and difference in practice.
Please rate your ability to:
14. Recognize the extent to which a culture’s structures and values may oppress, marginalize, alienate, or create or enhance privilege and power
15. Gain sufficient self-awareness to eliminate the influence of personal biases and values in working with diverse groups
16.
5 4 3 2 1 n/a
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Recognize and communicate their understanding of the importance of difference in shaping life experiences
View themselves as learners and engage those with whom they work as informants
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Comments: Click here to enter text.
Competency 5: Advance human rights and social and economic justice.
Please rate your ability to:
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Understand the forms and mechanisms of oppression and
5 4 3 2 1 n/a
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Advocate for human rights and social and economic justice ☐ ☐ ☐ ☐ ☐ ☐
Engage in practices that advance social and economic justice ☐ ☐ ☐ ☐ ☐ ☐
Comments: Click here to enter text.
Competency 6: Engage in research-informed practice and practice-informed research.
Please rate your ability to:
5 4 3 2 1 n/a
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Use practice experience to inform scientific inquiry
Use research evidence to inform practice
Comments: Click here to enter text.
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Competency #7: Apply knowledge of human behavior and the social environment.
Please rate your ability to:
23. Utilize conceptual frameworks to guide the processes of assessment, intervention, and evaluation
24. Critique and apply knowledge to understand person and environment
Comments: Click here to enter text.
5 4 3 2 1 n/a
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Competency 8: Engage in policy practice to advance social and economic well-being and to deliver effective social work services.
Please rate your ability to:
25. Analyze, formulate, and advocate for policies that advance social well-being
26. Collaborate with colleagues and clients for effective policy action
Comments: Click here to enter text.
5 4 3 2 1 n/a
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Competency 9: Respond to contexts that shape practice .
Please rate your ability to:
27. Continuously discover, appraise, and attend to changing locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services
28. Provide leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services
Comments: Click here to enter text.
5 4 3 2 1 n/a
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Competency 10: Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities.
Please rate your ability to:
5 4 3 2 1 n/a
Engage
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Assess
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Substantively and affectively prepare for action with individuals, families, groups, organizations, and communities
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Use empathy and other interpersonal skills
Develop a mutually agreed-on focus of work and desired outcomes
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Collect, organize, and interpret client data
Assess client strengths and limitations
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Develop mutually agreed-on intervention goals and objectives ☐ ☐ ☐ ☐ ☐ ☐
Select appropriate intervention strategies ☐ ☐ ☐ ☐ ☐ ☐
Intervene
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Evaluate
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Initiate actions to achieve organizational goals
Implement prevention interventions that enhance client capacities
Help clients resolve problems
Negotiate, mediate, and advocate for clients
Facilitate transitions and endings
Critically analyze, monitor, and evaluate interventions
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Comments: Click here to enter text.
Overall Evaluation
☐ I feel that I am ready for entry level social work practice and would be confident applying and interviewing for jobs within my interest area.
☐ I feel I need additional internship and/or other experience to sharpen my skills before applying for social work jobs in my interest area.
☐ I no longer feel that social work is the right field for me.
Comments: Click here to enter text.
Signature: Click here to enter text.
Date: Click here to enter text.
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